Individual
MISS CHARMI HITESH SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
901 SOUTH NATIONAL AVE, PROFESSIONAL BUILDING 160, SPRINGFIELD, MO 65897
(417) 836-8553
Mailing address
1601 BARTON ROAD, #212, REDLANDS, CA 92373
(657) 505-6396
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
05/25/2023
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